Ali Ali Adwal, Ahmed Anmar Mohammed, Al-Badri Sajjad Ghanim, Al Gehadi Muntadher Yousif Hasan, Al-Fatlawi Nabeel
University of Kirkuk, College of Medicine, Kirkuk, Iraq.
Azadi Teaching Hospital, Kirkuk, Iraq.
J Surg Case Rep. 2025 Jun 2;2025(6):rjaf263. doi: 10.1093/jscr/rjaf263. eCollection 2025 Jun.
Advanced squamous cell carcinoma (SCC) is a challenge for treatment. It is also a risk factor for unintended infestation with Diptera larvae (maggots) known as myiasis. We describe a rare case of cutaneous myiasis located on a giant SCC of the face in an elderly female. Myiasis coupled with malignant skin conditions provides a unique surgical challenge as it is associated with a significantly increased risk of complications and mortalities. A literature review using PUBMED revealed 15 cases of SCC-associated myiasis due to different species. It is not only a disease of older age, as two of the patients were in their 20s. Pain, bleeding, and infection are possible symptoms due to infestation but not all patients reported complaints. Treatment aims to completely remove all maggots and to prevent secondary tissue damage with blindness due to eyeball destruction as one of the worst.
晚期鳞状细胞癌（SCC）是一种治疗挑战。它也是被称为蝇蛆病的双翅目幼虫（蛆）意外感染的危险因素。我们描述了一例罕见的皮肤蝇蛆病病例，发生在一名老年女性面部的巨大鳞状细胞癌上。蝇蛆病与恶性皮肤疾病并存带来了独特的手术挑战，因为它与并发症和死亡率显著增加相关。使用PUBMED进行的文献综述发现了15例因不同物种导致的与鳞状细胞癌相关的蝇蛆病病例。这并非仅是老年疾病，因为其中两名患者为20多岁。感染可能导致疼痛、出血和感染等症状，但并非所有患者都有相关主诉。治疗旨在彻底清除所有蛆虫，并防止继发组织损伤，其中最严重的情况之一是因眼球破坏导致失明。
